Using an Anterior or Open Approach
Using an Anterior or Open Approach
The voice masculinization procedure is a surgical intervention aimed at transmasculine or non-binary individuals who wish to achieve a deeper vocal tone that aligns with their gender identity.
At Clínica 3 de Mayo, in Madrid, Dr. Jesús Lago performs voice masculinization surgery using an anterior or open approach, a surgical technique that allows the characteristics of the voice to be modified permanently.
Many people who have undergone hormonal transition discover that their voice does not change as much as they expected. In these cases, voice masculinization surgery can help achieve a deeper and more natural voice, improving the congruence between identity and vocal expression.
Our goal is to offer a safe, precise, and patient-adapted intervention, always prioritizing wellbeing, vocal functionality, and natural-looking results.
The voice masculinization surgery using an open approach is performed through an external incision on the anterior part of the neck, positioned horizontally within a natural skin crease.
Through this incision, the surgeon directly accesses the vocal cords to modify their length and tension, which makes it possible to achieve a deeper and typically masculine vocal tone by modifying the structure of the thyroid cartilage.
This anterior or open approach allows direct visualization of the anatomical structures, providing greater precision when making the modifications required to masculinize the voice.
This procedure differs from the techniques used for vocal pitch elevation in trans women, as in this case the objective is to lower the vocal pitch and achieve a deeper resonance.
60 minutes
No hospital admission required
Local
Anterior or open approach
Between 7 and 10 days
The voice masculinization surgery is especially recommended for:
Trans men who have undergone hormonal transition but have not achieved sufficient vocal change.
Non-binary individuals who wish to achieve a deeper voice.
Patients with persistent voice dysphoria.
People who have tried voice therapy without achieving satisfactory results.
Each case is evaluated individually to determine whether this procedure is the most appropriate option.
The voice masculinization surgery can provide significant personal and emotional benefits:
Greater alignment between gender identity and vocal expression.
Improvement in psychological and emotional wellbeing.
Reduction of voice-related dysphoria.
Permanent results without the need for prolonged vocal training.
For many people, the voice is one of the most visible elements in social interaction. Achieving a voice that reflects one’s gender identity can significantly improve confidence and security in everyday life.
After the procedure, it is important to follow a series of recommendations to support proper recovery.
Among the main recommendations are:
Absolute vocal rest during the first 7 days.
Avoid clearing the throat, forceful coughing, or shouting during the first weeks.
Follow the medical check-ups indicated by the surgical team.
In some cases, attend sessions with a specialized speech therapist.
Gradually resume social and work activities.
These measures help the voice stabilize properly during the recovery process.
The voice masculinization surgery can help you achieve a deeper vocal tone that aligns with your identity in a natural, safe, and lasting way.
If you would like to receive a personalized evaluation regarding voice masculinization surgery or have questions about the procedure, the team of Dr. Jesús Lago in Madrid is available to guide you and answer all your questions.
Book your consultation now and start your process with complete confidence.
Dr. Jesús Lago explains how the procedure works and answers all your questions.
The result is permanent. However, additional adjustments can be made through voice therapy if further changes in resonance or intonation are desired.
The surgery is performed under local anesthesia, with very good control of any pain or discomfort. Afterwards, mild discomfort in the neck area may occur, which can be easily managed with common pain relievers.
Changes usually begin to be noticeable after the period of vocal rest, but the final result typically stabilizes between 3 and 6 months.
The incision is made in a strategic area of the neck, within a natural skin fold, and closure techniques are used to minimize the visibility of the scar.
In some cases, sessions with a speech therapist may be recommended to help patients make the most of their new vocal tone and adapt their intonation.
The procedure is performed by an expert team specialized in voice surgery, with an approach focused on preserving vocal functionality and achieving natural and safe results.
You can contact us by calling +34 918 513 317 – +34 620 482 200, sending an email to consultas@institutojesuslago.com or filling out the following form.
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In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.
IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.
Rescue surgeries are surgical treatments intended to treat or modify complications or negative outcomes from a previous surgical treatment performed at another center.
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